Journal article
Cerebrovascular brainstem diseases with isolated cranial nerve palsies
Cerebrovascular diseases (Basel, Switzerland), Vol.13(3), pp.147-155
2002
DOI: 10.1159/000047768
PMID: 11914530
Abstract
There is a significant number of individual patients with cranial nerve palsies as the sole manifestation of MRI- and, less frequently, CT-documented small brainstem infarctions or hemorrhages. The 3rd and 6th nerves are most commonly involved and, less frequently, the 4th, 5th, 7th, and 8th nerves. An intra-axial basis for such lesions may be underestimated if the diagnosis is based solely on MRI. The electrophysiologic abnormalities indicating brainstem lesions may be independent of MRI-documented morphological lesions. This paper reviews the literature on cerebrovascular brainstem diseases manifesting as isolated cranial nerve palsies. It supports the concept that small pontine and mesencephalic infarctions are the main cause of non-traumatic cranial nerve palsies in the middle-aged and elderly population. Microvascular infarction of the respective extra-axial cranial nerve segments seem to be less important.
Details
- Title: Subtitle
- Cerebrovascular brainstem diseases with isolated cranial nerve palsies
- Creators
- Frank Thömke - Department of Neurology, University of Mainz, Germany. thoemke@neurologie.klinik.uni-mainz.deLudwig GutmannPeter StoeterHanns Christian Hopf
- Resource Type
- Journal article
- Publication Details
- Cerebrovascular diseases (Basel, Switzerland), Vol.13(3), pp.147-155
- Publisher
- Switzerland
- DOI
- 10.1159/000047768
- PMID
- 11914530
- ISSN
- 1015-9770
- eISSN
- 1421-9786
- Language
- English
- Date published
- 2002
- Academic Unit
- Neurology
- Record Identifier
- 9984020797502771
Metrics
28 Record Views